PASS CCRN TEST BANK 2025| BRAND
NEW ACTUAL EXAM WITH 100% VERIFIED
QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR
GRADES.
Which of the following would be the earliest auscultatory finding in left
ventricular failure (LVF)?
A. Crackles
B. S3
C. Murmur of mitral regurgitation
D. Pericardial friction rub - Correct Answer-B. S3
LVF would be the most subtle because early changes are usually subtle
changes. Choose "S3."
A patient with a triple-lumen subclavian catheter has been receiving total
parenteral nutrition, maintenance fluids, and antibiotics by the catheter. He
has been slightly confused. Suddenly he grasps the catheter and pulls it
out. He then complains of shortness of breath, and his pulse oximetry
indicates an SpO2 of 84%. How should this patient be positioned?
A. Head down, left side
B. Head down, right side
C. Head of bed elevated, left side
Page | 1
,D. Head of bed elevated, right side - Correct Answer-A. Head down, left
side
Envision a big air bubble in the patient's heart. Think: what position would
decrease the movement of the air embolism out of the right side of the
heart. Chose "Head down, left side."
Oxygen delivery (DO2) is the product of which of the following?
A.
PaO2, hemoglobin, mean arterial pressure
B.
SaO2, hemoglobin, cardiac output
C.
SvO2, cardiac index, SaO2
D.
PaO2, mean arterial pressure, SvO2 - Correct Answer-B. SaO2,
hemoglobin, cardiac output
Oxygen is delivered from the arterial end, so choose an option that has
SaO2
Which of the following is the most significant complication of status
asthmaticus?
Page | 2
,A.
Pulmonary embolism
B.
Acute respiratory failure
C.
Hypertension
D.
Anaphylaxis - Correct Answer-B. Acute respiratory failure
A 22-year-old man is admitted to the critical care unit after a motor vehicle
collision. The emergency department nurse reports that he was
unconscious at the scene of the accident, but he is now alert and oriented.
Skull films show a linear fracture of the right temporal bone. He is at
significant risk for:
A. scalp
hematoma.
B. subdural
hematoma.
C. epidural
hematoma. D.
intracerebral hematoma. - Correct Answer-C. epidural hematoma.
Linear fractures of the temporal bone frequently disrupt the middle
meningeal artery and cause epidural hematoma. Patients with an epidural
hematoma classically present with a short period of unconsciousness
Page | 3
, followed by a lucid interval and then rapid deterioration. An epidural
hematoma is usually caused by arterial bleeding.
A patient is admitted to the ICU after sustaining a concussion and blunt
abdominal trauma to the right upper quadrant in a domestic dispute. The
patient's vital signs are BP 145/86 mm Hg, pulse 86 beats/min, respiration
15 breaths/min, and temperature 98.8° F. The nurse is monitoring the
patient's bowel sounds, abdominal tenderness, and abdominal girth
frequently. Which of the following laboratory parameters is especially
important for the nurse to closely monitor for bleeding in this patient?
A.
Platelet count
B. Protime
C.
Hematocrit
D.
Mean corpuscular volume - Correct Answer-C. Hematocrit
Common injuries resulting from blunt abdominal trauma can include injury
to the liver, spleen, mesenteric vessels, pancreas, or kidneys. In a
nonoperative approach to blunt abdominal trauma, observation and
monitoring include serial hematocrits to evaluate for intra-abdominal
bleeding. The platelet count does not fluctuate unless there is a disease
process (e.g. cirrhosis, leukemia) or significant blood loss. Protime is a
monitor of coagulation status and can be prolonged without active bleeding.
Mean corpuscular volume measures the average volume or size of a single
RBC and is used in classifying anemias.
Page | 4
NEW ACTUAL EXAM WITH 100% VERIFIED
QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR
GRADES.
Which of the following would be the earliest auscultatory finding in left
ventricular failure (LVF)?
A. Crackles
B. S3
C. Murmur of mitral regurgitation
D. Pericardial friction rub - Correct Answer-B. S3
LVF would be the most subtle because early changes are usually subtle
changes. Choose "S3."
A patient with a triple-lumen subclavian catheter has been receiving total
parenteral nutrition, maintenance fluids, and antibiotics by the catheter. He
has been slightly confused. Suddenly he grasps the catheter and pulls it
out. He then complains of shortness of breath, and his pulse oximetry
indicates an SpO2 of 84%. How should this patient be positioned?
A. Head down, left side
B. Head down, right side
C. Head of bed elevated, left side
Page | 1
,D. Head of bed elevated, right side - Correct Answer-A. Head down, left
side
Envision a big air bubble in the patient's heart. Think: what position would
decrease the movement of the air embolism out of the right side of the
heart. Chose "Head down, left side."
Oxygen delivery (DO2) is the product of which of the following?
A.
PaO2, hemoglobin, mean arterial pressure
B.
SaO2, hemoglobin, cardiac output
C.
SvO2, cardiac index, SaO2
D.
PaO2, mean arterial pressure, SvO2 - Correct Answer-B. SaO2,
hemoglobin, cardiac output
Oxygen is delivered from the arterial end, so choose an option that has
SaO2
Which of the following is the most significant complication of status
asthmaticus?
Page | 2
,A.
Pulmonary embolism
B.
Acute respiratory failure
C.
Hypertension
D.
Anaphylaxis - Correct Answer-B. Acute respiratory failure
A 22-year-old man is admitted to the critical care unit after a motor vehicle
collision. The emergency department nurse reports that he was
unconscious at the scene of the accident, but he is now alert and oriented.
Skull films show a linear fracture of the right temporal bone. He is at
significant risk for:
A. scalp
hematoma.
B. subdural
hematoma.
C. epidural
hematoma. D.
intracerebral hematoma. - Correct Answer-C. epidural hematoma.
Linear fractures of the temporal bone frequently disrupt the middle
meningeal artery and cause epidural hematoma. Patients with an epidural
hematoma classically present with a short period of unconsciousness
Page | 3
, followed by a lucid interval and then rapid deterioration. An epidural
hematoma is usually caused by arterial bleeding.
A patient is admitted to the ICU after sustaining a concussion and blunt
abdominal trauma to the right upper quadrant in a domestic dispute. The
patient's vital signs are BP 145/86 mm Hg, pulse 86 beats/min, respiration
15 breaths/min, and temperature 98.8° F. The nurse is monitoring the
patient's bowel sounds, abdominal tenderness, and abdominal girth
frequently. Which of the following laboratory parameters is especially
important for the nurse to closely monitor for bleeding in this patient?
A.
Platelet count
B. Protime
C.
Hematocrit
D.
Mean corpuscular volume - Correct Answer-C. Hematocrit
Common injuries resulting from blunt abdominal trauma can include injury
to the liver, spleen, mesenteric vessels, pancreas, or kidneys. In a
nonoperative approach to blunt abdominal trauma, observation and
monitoring include serial hematocrits to evaluate for intra-abdominal
bleeding. The platelet count does not fluctuate unless there is a disease
process (e.g. cirrhosis, leukemia) or significant blood loss. Protime is a
monitor of coagulation status and can be prolonged without active bleeding.
Mean corpuscular volume measures the average volume or size of a single
RBC and is used in classifying anemias.
Page | 4
